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TRACY LEANN RIDER
NPI 1467171702
Peer Specialist in Commerce, OK

Active since August 22, 2022
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339(918) 675-4100 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Leann Rider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LEANN RIDER (NPI 1467171702) is an individual peer specialist in Commerce, Oklahoma and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1467171702
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTRACY LEANN RIDER
Location Address304 N MICKEY MANTLE BLVDCommerce, OK 74339-1110
Mailing Address304 N Mickey Mantle BlvdCommerce, OK 74339-1110 · (918) 675-4100
Phone(918) 675-4100
Sole ProprietorNo
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ NPI 1467171702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
304 N MICKEY MANTLE BLVD, Commerce, OK 74339
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREG FENT
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
NORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC.
Substance Abuse Rehabilitation Facility
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100
JOSEPH GOLDMAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JOHNNY FROST
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (405) 679-7144
LISHA LANCASTER
Counselor (Addiction (Substance Use Disorder))
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JAMES SHULL
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 253-6548
JENNIFER JEAN CALLAHAN
Peer Specialist
304 N MICKEY MANTLE BLVD
COMMERCE, OK 74339
Ottawa County (918) 675-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Rider's NPI number?

The NPI number for Tracy Rider is 1467171702. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Tracy Rider located?

Tracy Rider practices at 304 N Mickey Mantle Blvd, Commerce, OK 74339. The listed phone number is (918) 675-4100.

What is Tracy Rider's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tracy Rider was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.